RHIT EXAM PREP PRACTICE
QUESTIONS DOMAIN VII (REVENUE
CYCLE) WITH ANSWERS
What is the name of the program funded by the federal government to provide medical care to people
on low incomes or with limited financial resources?
A) CHAMPUS
B) Medicare
C) Medicaid
D) Medigap
C) Payer of last resort ✔ans (518) Some services are covered and paid by Medicare before Medicaid
makes payments because Medicaid is considered which of the following?
A) Qualified beneficiary
B) Premium payer
C) Payer of last resort
D) Alternative payer
A) Preferred provider organization ✔ans (519) Which of the following groups of healthcare providers
contracts with a self-insured employer to provide healthcare services?
A) Preferred provider organization
B) Health maintenance organization
C) Point-of-service provider
D) Independent practice association
,B) Prospective payment ✔ans (520) Which of the following reimbursement methods pays providers
according to charges that are calculated before health services are rendered?
A) Fee-for-service reimbursement
B) Prospective payment
C) Retrospective payment
D) Resource-based payment
A) Global payments ✔ans (521) Which of the following apply to radiological and other procedures that
include professional and technical components and are paid as a lump sum to be divided between
physician and healthcare facility?
A) Global payments
B) Professional payment
C) Bundled payment
D) Fee for service
B) Claims processing ✔ans (522) In a typical acute-care setting. which revenue cycle area uses an
internal auditing system (scrubber) to ensure that error-free claims (clean claims) are submitted to third-
party payers?
A) Preclaims submission
B) Claims processing
C) Accounts receivable
D) Claims reconciliation/collections
A) Fiscal intermediary/MAC ✔ans (523) Which entity is responsible for processing Part A claims and
hospital-based Part B claims for institutional services of behalf of Medicare?
A) Fiscal intermediary/MAC
B) Medicare carrier
, C) Third-party payer
D) Claim editor
A) Transposed digits in the social security number, date of birth, or policy number ✔ans (524) Which of
the following is a common registration error that will affect the revenue cycle?
A) Transposed digits in the social security number, date of birth, or policy number
B) Inaccurate lab results
C) Discharge summary dictated more than 30 days post-discharge
D) Medication dosage error on prescription
B) Claims processing ✔ans (525) In a typical acute-care setting, charge capture is located in which
revenue cycle area?
A) Preclaims submission
B) Claims processing
C) Accounts receivable
D) Claims reconciliation/collections
D) Individual states ✔ans (526) Which of the following establish eligibility standards for enrollment in
Medicaid?
A) Centers for Medicare and Medicaid Services
B) Department of Health and Human Services
C) Federal government
D) Individual states
C) SCHIP ✔ans (527) This program provides additional federal funds to states so that Medicaid eligibility
can be expanded to include a greater number of children.
QUESTIONS DOMAIN VII (REVENUE
CYCLE) WITH ANSWERS
What is the name of the program funded by the federal government to provide medical care to people
on low incomes or with limited financial resources?
A) CHAMPUS
B) Medicare
C) Medicaid
D) Medigap
C) Payer of last resort ✔ans (518) Some services are covered and paid by Medicare before Medicaid
makes payments because Medicaid is considered which of the following?
A) Qualified beneficiary
B) Premium payer
C) Payer of last resort
D) Alternative payer
A) Preferred provider organization ✔ans (519) Which of the following groups of healthcare providers
contracts with a self-insured employer to provide healthcare services?
A) Preferred provider organization
B) Health maintenance organization
C) Point-of-service provider
D) Independent practice association
,B) Prospective payment ✔ans (520) Which of the following reimbursement methods pays providers
according to charges that are calculated before health services are rendered?
A) Fee-for-service reimbursement
B) Prospective payment
C) Retrospective payment
D) Resource-based payment
A) Global payments ✔ans (521) Which of the following apply to radiological and other procedures that
include professional and technical components and are paid as a lump sum to be divided between
physician and healthcare facility?
A) Global payments
B) Professional payment
C) Bundled payment
D) Fee for service
B) Claims processing ✔ans (522) In a typical acute-care setting. which revenue cycle area uses an
internal auditing system (scrubber) to ensure that error-free claims (clean claims) are submitted to third-
party payers?
A) Preclaims submission
B) Claims processing
C) Accounts receivable
D) Claims reconciliation/collections
A) Fiscal intermediary/MAC ✔ans (523) Which entity is responsible for processing Part A claims and
hospital-based Part B claims for institutional services of behalf of Medicare?
A) Fiscal intermediary/MAC
B) Medicare carrier
, C) Third-party payer
D) Claim editor
A) Transposed digits in the social security number, date of birth, or policy number ✔ans (524) Which of
the following is a common registration error that will affect the revenue cycle?
A) Transposed digits in the social security number, date of birth, or policy number
B) Inaccurate lab results
C) Discharge summary dictated more than 30 days post-discharge
D) Medication dosage error on prescription
B) Claims processing ✔ans (525) In a typical acute-care setting, charge capture is located in which
revenue cycle area?
A) Preclaims submission
B) Claims processing
C) Accounts receivable
D) Claims reconciliation/collections
D) Individual states ✔ans (526) Which of the following establish eligibility standards for enrollment in
Medicaid?
A) Centers for Medicare and Medicaid Services
B) Department of Health and Human Services
C) Federal government
D) Individual states
C) SCHIP ✔ans (527) This program provides additional federal funds to states so that Medicaid eligibility
can be expanded to include a greater number of children.
